Academic Commons Search Resultshttp://academiccommons.columbia.edu/catalog.rss?f%5Bauthor_facet%5D%5B%5D=Garrett%2C+Andrew+L.&f%5Bgenre_facet%5D%5B%5D=Reports&q=&rows=500&sort=record_creation_date+desc
Academic Commons Search Resultsen-usInterventions to Mitigate the Reduced Ability and Willingness to Work of Health Care Workers During a Pandemic Influenza Public Health Emergencyhttp://academiccommons.columbia.edu/catalog/ac:152835
Garrett, Andrew L.; Gill, Kimberlyhttp://hdl.handle.net/10022/AC:P:14775Wed, 26 Sep 2012 00:00:00 +0000Several widely publicized articles were released in the past two years which suggest that health care and public health employees may be unable or unwilling to report to work during a public health emergency involving contagion or contamination such as pandemic influenza, SARS, smallpox, or a terrorist attack using disease or radiation: A 2006 study of public health department workers, only 54% of those surveyed indicated that they would "likely report to work" during a pandemic influenza outbreak. In 2005 a national survey of pre-hospital care workers indicated that only 65% of EMTs were willing to report for duty during a smallpox outbreak. Also in 2005, only 48% of health care workers in the greater New York City area reported that they were "willing to work" during a widespread outbreak of SARS-like illness. Although a recurrence of pandemic influenza is inevitable, it was not until recently that there has been a very public acknowledgement of the impact it will potentially place upon society in terms of the delivery of medical care.Public health, EpidemiologyNational Center for Disaster PreparednessReportsRegional Health and Public Health Preparedness for Nuclear Terrorism: Optimizing Survival in a Low Probability/High Consequence Disasterhttp://academiccommons.columbia.edu/catalog/ac:126140
Redlener, Irwin E.; Garrett, Andrew L.; Levin, Karen; Mener, Andrewhttp://hdl.handle.net/10022/AC:P:8839Mon, 24 May 2010 00:00:00 +0000The United States remains unprepared to cope with the possibility of an attack on a major city by terrorists capable of acquiring and detonating an improvised nuclear device. Long-held anxieties about the non-survivability of nuclear war promulgated during the intense U.S.—Soviet arms race from the late 1940s through the 1980s, and reluctance to consider low probability/high consequence events among local disaster planning priorities, are barriers to developing plans that could dramatically save lives in the event of a terrorist-based nuclear detonation. This paper begins by describing the reality of the threat of nuclear terrorism to the United States and the enormous scale of lives lost and physical destruction that would result from the detonation of even a small improvised nuclear device (IND) in an American city. It then systematically lays out the gross inadequacy of current response capabilities, and highlights the critical unmet need for urgent, deliberate and well-funded planning efforts to address those deficiencies. In the Recommendations section, Columbia University’s National Center for Disaster Preparedness (NCDP) calls for targeted public health and medical care regional planning and response efforts focused on “gray zones”—areas where significant life-saving opportunities would exist following an IND detonation, and where preparedness planning and proper training can meaningfully enhance survival and recovery.Public health, Public administrationir2110, kll2121Population and Family Health, Pediatrics, National Center for Disaster PreparednessReportsPediatric Emergency Preparedness for Natural Disasters, Terrorism, and Public Health Emergencies: A National Consensus Conference: 2009 Updatehttp://academiccommons.columbia.edu/catalog/ac:126143
Garrett, Andrew L.; Redlener, Irwin E.http://hdl.handle.net/10022/AC:P:8840Mon, 24 May 2010 00:00:00 +0000This is the third consensus document in an ongoing process to convene experts from the multiple disciplines that are involved in the planning for children affected by disasters.Public health, Public administrationir2110Population and Family Health, Pediatrics, National Center for Disaster PreparednessReports